Evidence map›Paper›PMID 38715244›Full record

ArticleAnnals of clinical and translational neurology2024

Polygenic liability for anxiety in association with comorbid anxiety in multiple sclerosis.

Kaarina Kowalec, Arvid Harder, Casandra Dolovich, Kathryn C Fitzgerald, Amber Salter, Yi Lu, Charles N Bernstein, James M Bolton, Gary Cutter, John D Fisk and 13 more

Abstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Behavioral disorders in Parkinson disease: current view.Journal of neural transmission (Vienna, Austria : 1996) · 2025
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

23 authors.

Kaarina KowalecRady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada.ORCID 0000-0003-3928-9879
Arvid HarderDepartment of Medical Epidemiology & Biostatistics, Karolinska Institutet, Solna, Sweden.
Casandra DolovichDepartment of Internal Medicine, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada.
Kathryn C FitzgeraldDepartment of Neurology, Johns Hopkins School of Medicine, Baltimore, Maryland, USA.ORCID 0000-0003-3137-0322
Amber SalterDepartment of Neurology, UT Southwestern, Dallas, Texas, USA.ORCID 0000-0002-1088-110X
Yi LuDepartment of Medical Epidemiology & Biostatistics, Karolinska Institutet, Solna, Sweden.
Charles N BernsteinDepartment of Internal Medicine, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada.
James M BoltonDepartment of Psychiatry, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada.
Gary CutterDepartment of Biostatistics, University of Alabama at Birmingham, Birmingham, Alabama, USA.
John D FiskNova Scotia Health and Departments of Psychiatry, Psychology & Neuroscience, and Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
Joel GelernterDepartment of Psychiatry, Yale University, School of Medicine, New Haven, Connecticut, USA.
Lesley A GraffDepartment of Clinical Health Psychology, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada.
Sara HäggDepartment of Medical Epidemiology & Biostatistics, Karolinska Institutet, Solna, Sweden.
Carol A HitchonDepartment of Rheumatology, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada.
Daniel F LeveyDepartment of Psychiatry, Yale University, School of Medicine, New Haven, Connecticut, USA.
Fred D LublinIcahn School of Medicine at Mount Sinai, New York, New York, USA.
Kyla A McKayDepartment of Clinical Neuroscience, Karolinska Institutet, Solna, Sweden.ORCID 0000-0002-9081-1522
Scott PattenDepartment of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Canada.
Amit PatkiDepartment of Biostatistics, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Murray B SteinDepartment of Psychiatry, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada.
Hemant K TiwariDepartment of Biostatistics, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Jerry S WolinskyDepartment of Neurology, McGovern Medical School, The University of Texas Health Science Center at Houston (UTHealth), Houston, Texas, USA.ORCID 0000-0002-8197-2762
Ruth A MarrieDepartment of Internal Medicine, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
A Trans-Nordic Study of Extreme Major DepressionR01MH123724 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI PATRICK F SULLIVAN, Lu Yi · 2020 to 2026
$4.7M
Investigating the Genomic Architecture of Anxiety and Overlap with Mental Health Disorders in the Million Veteran Program.IK2BX005058 · VA · VA CONNECTICUT HEALTHCARE SYSTEM · PI LEVEY, DANIEL F · 2021 to 2025
–
Bingham Chair in GastroenterologyBLRD VA IK2 BX005058CIHR THC-135234Consortium of Multiple Sclerosis CentersCuthbertson & Fischer Chair in Pediatric Mental HealthDepartment of Defense Congressionally Directed Medical Research Program W81XWH2010566NCATS NIH HHS UL1 TR001863NIMH NIH HHS MH123724NIMH NIH HHS R01 MH123724Swedish Research Council 2018-05973Swedish Research Council 2022-06725University of ManitobaUS Department of Veterans Affairs 1IK2BX005058-01A2Waugh Family Chair in Multiple Sclerosis
6 · The paper itself

Abstract

objectiveComorbid anxiety occurs often in MS and is associated with disability progression. Polygenic scores offer a possible means of anxiety risk prediction but often have not been validated outside the original discovery population. We aimed to investigate the association between the Generalized Anxiety Disorder 2-item scale polygenic score with anxiety in MS.

methodsUsing a case-control design, participants from Canadian, UK Biobank, and United States cohorts were grouped into cases (MS/comorbid anxiety) or controls (MS/no anxiety, anxiety/no immune disease or healthy). We used multiple anxiety measures: current symptoms, lifetime interview-diagnosed, and lifetime self-report physician-diagnosed. The polygenic score was computed for current anxiety symptoms using summary statistics from a previous genome-wide association study and was tested using regression.

resultsA total of 71,343 individuals of European genetic ancestry were used: Canada (n = 334; 212 MS), UK Biobank (n = 70,431; 1,390 MS), and the USA (n = 578 MS). Meta-analyses identified that in MS, each 1-SD increase in the polygenic score was associated with ~50% increased odds of comorbid moderate anxious symptoms compared to those with less than moderate anxious symptoms (OR: 1.47, 95% CI: 1.09-1.99). We found a similar direction of effects in the other measures. MS had a similar anxiety genetic burden compared to people with anxiety as the index disease.

interpretationHigher genetic burden for anxiety was associated with significantly increased odds of moderate anxious symptoms in MS of European genetic ancestry which did not differ from those with anxiety and no comorbid immune disease. This study suggests a genetic basis for anxiety in MS.

Indexed as

AnxietyAnxiety DisordersComorbidityMultifactorial InheritanceMultiple SclerosisAdultAgedCanadaCase-Control StudiesFemaleGenetic Predisposition to DiseaseGenome-Wide Association StudyHumansMaleMiddle AgedUnited Kingdom

Identifiers

PMID38715244
PMCPMC11187942

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.